Hopewell Health Centers, Inc.
Organization Active NPI Mental Health Clinic/Center (Including Community Mental Health Center) · Gallipolis, OH
NPI 1093570079 · NPPES record last updated Feb 19, 2024
Key facts
- NPI
- 1093570079
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X
- Legal business name
- HOPEWELL HEALTH CENTERS, INC.
- Practice address
- 100 West Ave
Gallipolis, OH 45631-1674 - Phone
- (740) 446-5554
- NPI assigned
- Feb 19, 2024
- Organization subpart
- No
Authorized official
- Name
- Mark Bridenbaugh
- Title
- Ceo
- Phone
- (740) 773-4366
Other NPIs on the same Medicare enrollment 34
Corporate family (same tax ID) 20
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in OH
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20110209000712 | OH | Part B Supplier - Clinic/Group Practice | 9234049990 |
Receives reassigned benefits from 216 practitioners 36 other NPIs on this enrollment This NPI is an additional NPI on the enrollment Practice locations: Marietta, OH; MC Arthur, OH; Nelsonville, OH; New Lexington, OH; Pomeroy, OH; Racine, OH; Reedsville, OH; Reynoldsburg, OH… |
National Provider Directory
- Tax ID family
- Family Health Care Inc
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Clinic/Center (Including Community Mental Health Center) | 261QM0801X | Yes |
Addresses
Primary practice location
100 West Ave
Gallipolis, OH 45631-1674
Mailing address
PO Box 188
Chillicothe, OH 45601-0188
Phone (740) 773-4366
NPI Registry JSON
{
"created_epoch": "1708300800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1708300800000",
"number": "1093570079",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 188",
"city": "CHILLICOTHE",
"state": "OH",
"postal_code": "456010188",
"telephone_number": "740-773-4366",
"fax_number": "740-851-4438"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "100 WEST AVE",
"city": "GALLIPOLIS",
"state": "OH",
"postal_code": "456311674",
"telephone_number": "740-446-5554"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "HOPEWELL HEALTH CENTERS, INC.",
"organizational_subpart": "NO",
"enumeration_date": "2024-02-19",
"last_updated": "2024-02-19",
"certification_date": "2024-02-19",
"status": "A",
"authorized_official_last_name": "BRIDENBAUGH",
"authorized_official_first_name": "MARK",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "740-773-4366"
},
"taxonomies": [
{
"code": "261QM0801X",
"taxonomy_group": "",
"desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Gallipolis, OH
- Rebecca A Honaker
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All providers in Gallipolis, OH · Mental Health Clinic/Center (Including Community Mental Health Center) in Ohio
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 19, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.